Organization
BARNES ORTHOPEDIC, SPORT, AND SPINE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEVEN BARNES PT, MPT, OCS (OWNER/DIRECTOR)
(470) 255-9325
Entity
Organization
Contact information
Practice address
3994 HIGHWAY 42, LOCUST GROVE, GA 30248-4104
(470) 507-4607
(470) 507-4608
Mailing address
3994 HIGHWAY 42, LOCUST GROVE, GA 30248-4104
(470) 507-4607
(470) 507-4608
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT015025
GEORGIA STATE BOARD OF PT
GA
Enumeration date
01/21/2021
Last updated
03/23/2021
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